| Course | DNP 625 Management of Common Health Problems in Adult-Gerontology Theory |
|---|---|
| Module | Module 3 |
| Paper type | Group protocol presentation slides with speaker notes |
| Length | About 610 words, 5 pages |
| Format | APA 7 slide deck with speaker notes |
| School | Arizona State University |
| Program | Doctor of Nursing Practice |
| Updated | October 2026 |
Free sample paper for DNP 625 Module 3
Up Three Times a Night: An Evidence-Based Assessment and Management Protocol for Nocturia in Older Adults
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
DNP 625: Management of Common Health Problems in Adult-Gerontology: Theory
Instructor Name
Month Day, Year
Slide 1: Up Three Times a Night
Group title slide with the protocol's aim: a stepwise approach any primary care clinician can follow.
Speaker notes: Nocturia is often dismissed as part of aging. Our protocol treats it as a symptom with causes that can be found and treated.
Slide 2: Why It Matters
Nocturia disrupts sleep, makes night-time trips to the toilet a common moment for falls and lowers quality of life.
Speaker notes: Each trip to the toilet in a dark house is a chance to fall, which is reason enough to evaluate it carefully.
Slide 3: Definitions
Nocturia: waking to pass urine during the main sleep period. Nocturnal polyuria: producing too much urine at night, usually defined as more than about a third of 24-hour output in older adults.
Speaker notes: The International Continence Society consensus recommends distinguishing these because the causes and treatments differ (Everaert et al., 2019).
Slide 4: Step 1, The Bladder Diary
Three days of times and volumes of every void, fluid intake and bedtimes.
Speaker notes: The diary is the single most useful test. It shows whether the problem is too much urine overall, too much at night or too small a bladder capacity (Everaert et al., 2019).
Slide 5: Step 2, Sort the Cause
Global polyuria (diabetes, high fluid intake); nocturnal polyuria (heart failure, edema, sleep apnea, evening fluids, diuretic timing); reduced bladder capacity (overactive bladder, enlarged prostate, urinary retention); sleep disorders (insomnia, pain, apnea, restless legs).
Speaker notes: Restless legs syndrome is worth asking about because it wakes people who then void out of habit, and current guidance treats it as common and treatable (Winkelman et al., 2025). Most older adults have more than one cause, so the protocol looks at all four categories rather than stopping at the first.
Slide 6: Step 3, Focused History and Examination
Medications and their timing; evening fluid, alcohol and caffeine; snoring; leg swelling; prostate and pelvic history; cognitive status.
Speaker notes: We emphasize medication timing because diuretics taken in the afternoon are a common and easily fixed cause.
Slide 7: Step 4, Targeted Tests
Urinalysis; glucose or hemoglobin A1c; renal function; post-void residual when retention is suspected; sleep apnea screening when snoring or daytime sleepiness are present.
Speaker notes: Testing follows the diary and history rather than a fixed panel.
Slide 8: Step 5, Behavioral Management First
Reduce fluids in the two to three hours before bed; limit evening caffeine and alcohol; elevate legs in the late afternoon to move fluid before bedtime; move diuretics to the morning; improve sleep habits; light the path to the bathroom.
Speaker notes: A practical review lists these as first-line steps because they are safe and often effective (Oelke et al., 2017).
Slide 9: Step 6, Treat the Underlying Cause
Optimize heart failure and diabetes care; treat sleep apnea; manage overactive bladder or prostate enlargement according to guidelines.
Speaker notes: Treating the cause often helps nocturia more than any bladder medication.
Slide 10: Step 7, Medication With Caution
Antidiuretic therapy may help selected patients with nocturnal polyuria but carries a risk of low sodium, especially in older adults, so sodium must be checked before and after starting. Bladder antimuscarinics can impair cognition in older adults and are avoided or used with great care.
Speaker notes: Our protocol places medication last and requires monitoring, reflecting both consensus advice and concern for safety in older patients (Everaert et al., 2019).
Slide 11: Referral Triggers and Summary
Refer for hematuria, recurrent infections, significant retention, suspected malignancy or failure of first-line steps. Summary: diary, sort, history, tests, behavior, treat the cause, medicate with care.
Speaker notes: Thank you. We welcome questions about applying the protocol in primary care.
References
Everaert, K., Hervé, F., Bosch, R., Dmochowski, R., Drake, M., Hashim, H., Chapple, C., Van Kerrebroeck, P., Mourad, S., Abrams, P., & Wein, A. (2019). International Continence Society consensus on the diagnosis and treatment of nocturia. Neurourology and Urodynamics, 38(2), 478-498. https://doi.org/10.1002/nau.23939
Oelke, M., De Wachter, S., Drake, M. J., Giannantoni, A., Kirby, M., Orme, S., Rees, J., van Kerrebroeck, P., & Everaert, K. (2017). A practical approach to the management of nocturia. International Journal of Clinical Practice, 71(11), e13027. https://doi.org/10.1111/ijcp.13027
Winkelman, J. W., Berkowski, J. A., DelRosso, L. M., Koo, B. B., Scharf, M. T., Sharon, D., Zak, R. S., Kazmi, U., Falck-Ytter, Y., Shelgikar, A. V., Trotti, L. M., & Walters, A. S. (2025). Treatment of restless legs syndrome and periodic limb movement disorder: An American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine, 21(1), 137-152. https://doi.org/10.5664/jcsm.11390
DNP 625 Module 3 instructions, in plain terms
The posted syllabus weights the Targeted Group Project and Presentation at 15% of the grade. Groups are assigned a symptom or phenomenon common to older adults, explore it in depth and formulate an evidence-based assessment and management protocol, which they present in person during the immersion in Week 12, the men's and women's health week. Canvas sets the PowerPoint requirements and rubric. Expect to define the symptom and why it matters for older adults, set out an assessment pathway with specific tools and tests, organize causes, give a stepwise management plan grounded in current evidence and name referral triggers. Because it is a protocol, the presentation should end with something a clinician could follow step by step. Divide the evidence review among members early and agree on one format for the steps.
Inside the DNP 625 Module 3 example
Eleven slides, each with speaker notes, make up the presentation. The first states the protocol's aim and why the symptom matters for older adults, then defines nocturia and nocturnal polyuria using an international consensus. Seven numbered steps follow, from the bladder diary through sorting causes into four categories, a focused history and examination, targeted tests and behavioral management, to treating the underlying cause and using medication with caution and monitoring. The last slide lists referral triggers and summarizes the seven steps. Two nocturia sources support the protocol, cited in the speaker notes. The steps are worded as actions, so the deck could be turned into a one-page clinic handout. Safety warnings sit beside the medications they concern.
Where the marks sit in the DNP 625 Module 3 rubric
Protocol presentations are likely scored on depth of exploration of the assigned symptom, a clear and logical assessment pathway, evidence-based management, attention to safety in older adults, organization, slide design and delivery. Protocols earn the most when steps are numbered and specific enough to follow. Linking assessment findings to management choices shows clinical reasoning. Highlighting medication risks for older adults, such as low sodium or cognitive effects, shows gerontological expertise. Referral criteria show the group knows the limits of primary care management. Even division of speaking roles and confident answers support the delivery score. Faculty may ask during the immersion how the protocol would work in a specific clinic, so be ready with an example.
DNP 625 Module 3 help: mistakes that cost marks
A common weakness is a presentation that reviews the symptom's pathophysiology at length and ends without a protocol. Make the steps the center of the deck. Another is listing every possible test for every patient; let the assessment guide testing. Cite consensus statements or guidelines for each major recommendation. If your group would like help building a protocol for its assigned symptom, send the symptom and the rubric to the desk. Practice the presentation together, since immersion time is limited. Prepare a one-page handout of the steps for classmates. Check that each step in your protocol leads to the next. Bring printed handouts in case the projector fails during the immersion.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
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DNP 625 Module 3 questions, answered
Where can I find a free DNP 625 Module 3 sample paper?
A full DNP 625 Targeted Group Project sample with an eleven-slide nocturia assessment and management protocol for older adults is on this page.
What is the DNP 625 targeted group project?
A group explores an assigned symptom common to older adults and presents an evidence-based assessment and management protocol at the immersion.
How much is the DNP 625 group project worth?
The posted syllabus weights the Targeted Group Project and Presentation at 15% of the grade.
What is the first test for nocturia?
A bladder diary of voiding times and volumes over several days, which shows whether the cause is high urine output, high night output or low bladder capacity.
Why are some nocturia medicines risky for older adults?
Antidiuretic therapy can lower sodium and bladder antimuscarinics can affect thinking, so they require caution and monitoring.